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Over the last three decades, the prevalence of chronic liver disease has steadily increased in the UK. Alcohol-related liver disease (ARLD), obesity-related liver disease, and chronic hepatitis B and C infection are the major causes for the rise.1 Liver disease is now one of the major causes for premature death in the UK and is the only one of the major diseases for which the rates are still increasing.1,2 In 1999, liver disease surpassed lung cancer and breast cancer as the leading cause of lost years of working life, and is soon set to overtake ischaemic heart disease.3 Between 1980 and 2013, deaths from liver disease increased fourfold, with 84% of the increase due to ARLD.4

Tackling the Epidemic: The Ncepod Report on Alcohol-Related Liver Disease and the Lancet Commission on Liver Disease